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This information is not intended as an offer to sell or the solicitation of an offer to buy, a franchise. Currently, the following states regulate the offer and sale of franchises: California, Hawaii, Illinois, Indiana, Maryland, Michigan, Minnesota, New York, North Dakota, Oregon, Rhode Island, South Dakota, Virginia, Washington, and Wisconsin, If you are a resident of or want to location a franchise in one of these states, we will not offer you a franchise unless and until we have complied with applicable pre-sale registration and disclosure requirements and disclosure requirements in your state. Franchise offerings may be made only through delivery of a Franchise Disclosure Document.

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First Name*	Last Name*
Email*	Phone Number
CITY OF INTEREST^*	State^*	Zip Code^*
Why are you interested in owning a Tippi toes?^*
Do you have at least $50,000 in cash?YESNo